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Yes Dez sucks and obviously knew a bunch of CV people being laid off when he stood up on stage in Vegas.  How could have handled better?  Get on stage in Vegas and announce layoffs happening in 2 months? Not bring CV team to Vegas. Too disruptive. They did say some vague statement about changes and adapting. We all knew coming anyway with Entresto. Leqvio 84% to goal this quarter so far for the nation.  Novartis getting theirs for launching and managing this drug so horribly.  Unfortunately, we are all at the mercy of their crappy leadership.